The Polyamorous Childbearing and Birth Experiences Study (POLYBABES): a qualitative study of the health care experiences of polyamorous families during pregnancy and birth.
Abstract BACKGROUND: As many as 1 in 5 adults practise some type of consensual nonmonogamy such as polyamory; many are married, have children, or both. Polyamorous families face unique challenges when accessing care during pregnancy and birth, and qualitative descriptive studies are needed to understand their experiences and inform health care providers' practice. METHODS: Participants, who self-identified as polyamorous, had given birth in the last 5 years and received at least some prenatal care, were recruited through convenience sampling on social media. Any of the birthing individual's partners were also...
Source: cmaj - October 15, 2019 Category: General Medicine Authors: Arseneau E, Landry S, Darling EK Tags: CMAJ Source Type: research

Sodium-glucose cotransporter inhibitors in type 2 diabetes: thinking beyond glucose lowering.
PMID: 31615819 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 15, 2019 Category: General Medicine Authors: Neuen BL, Cherney DZ, Jardine MJ, Perkovic V Tags: CMAJ Source Type: research

E-cigarettes.
PMID: 31615820 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 15, 2019 Category: General Medicine Authors: Aloosh M, Johnston J, Harvey B Tags: CMAJ Source Type: research

Mitral valve endocarditis caused by Staphylococcus aureus.
PMID: 31615821 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 15, 2019 Category: General Medicine Authors: Pannu AK, Prethiviraj S, Angrup A Tags: CMAJ Source Type: research

At the doctor's, not the dentist's.
PMID: 31615822 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 15, 2019 Category: General Medicine Authors: Butt H Tags: CMAJ Source Type: research

Responsible use of rifampin in Canada is threatened by irresponsible shortages.
PMID: 31615823 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 15, 2019 Category: General Medicine Authors: Houston AR, Cooper R, Khan FA Tags: CMAJ Source Type: research

Cost-effectiveness analysis should be mandatory in clinical-effectiveness research.
PMID: 31615824 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 15, 2019 Category: General Medicine Authors: Vijayaraghavan BKT, Willaert X, Cuthbertson BH Tags: CMAJ Source Type: research

Partnerships between health authorities and Amazon Alexa raise many possibilities - and just as many questions.
PMID: 31615825 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 15, 2019 Category: General Medicine Authors: Brown S Tags: CMAJ Source Type: research

Drug pricing apps only as effective as incentives to use them.
PMID: 31615826 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 15, 2019 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Medical school weight gain understudied.
PMID: 31615827 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 15, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

On mindfulness practice: Med Life with Dr. Horton.
PMID: 31615828 [PubMed - in process] (Source: cmaj)
Source: cmaj - October 15, 2019 Category: General Medicine Authors: Horton J Tags: CMAJ Source Type: research

Income-related disparities in private prescription drug coverage in Canada.
Abstract BACKGROUND: Canada does not have universal public coverage for prescription drugs, which leaves an important role for private insurance plans. However, we do not have recent data on the characteristics of Canadians who report holding such coverage, particularly differences based on household income. We performed a study to examine the relation between household income and private drug insurance coverage in Canada. METHODS: We used data from the 2015-2016 cycle of the Canadian Community Health Survey to investigate the relation between household income and holding private drug insurance. We constructe...
Source: cmaj - October 1, 2019 Category: General Medicine Authors: Bolatova T, Law MR Tags: CMAJ Open Source Type: research

Risk of rhabdomyolysis with donepezil compared with rivastigmine or galantamine: a population-based cohort study.
Abstract BACKGROUND: Donepezil, rivastigmine and galantamine are popular cholinesterase inhibitors used to manage the symptoms of Alzheimer disease and other dementias; regulatory agencies in several countries warn about a possible risk of rhabdomyolysis with donepezil, based on information from case reports. Our goal was to investigate the 30-day risk of admission to hospital with rhabdomyolysis associated with initiating donepezil versus other cholinesterase inhibitors. METHODS: We conducted a retrospective cohort study in Ontario, Canada, from 2002 to 2017. Participants were adults aged 66 years or older w...
Source: cmaj - September 16, 2019 Category: General Medicine Authors: Fleet JL, McArthur E, Patel A, Weir MA, Montero-Odasso M, Garg AX Tags: CMAJ Source Type: research

Disseminated varicella zoster virus infection after vaccination with a live attenuated vaccine.
PMID: 31527188 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 16, 2019 Category: General Medicine Authors: Dubey V, MacFadden D Tags: CMAJ Source Type: research

Chemical injuries of the eye.
PMID: 31527189 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 16, 2019 Category: General Medicine Authors: Kwok JM, Chew HF Tags: CMAJ Source Type: research

Do practice guidelines cause drug shortages? The historical example of β-blockers.
Do practice guidelines cause drug shortages? The historical example of β-blockers. CMAJ. 2019 Sep 16;191(37):E1029-E1031 Authors: Duffin J PMID: 31527190 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 16, 2019 Category: General Medicine Authors: Duffin J Tags: CMAJ Source Type: research

Health Canada has cautioned against use of boric acid-containing products.
PMID: 31527191 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 16, 2019 Category: General Medicine Authors: Earle C Tags: CMAJ Source Type: research

Doubts about first report of krokodil use in Canada.
PMID: 31527192 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 16, 2019 Category: General Medicine Authors: Mitchell IV Tags: CMAJ Source Type: research

Video games bring new aspects to medical education and training.
PMID: 31527193 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 16, 2019 Category: General Medicine Authors: Lougheed T Tags: CMAJ Source Type: research

The many challenges of increasing Indigenous faculty at medical schools.
PMID: 31527194 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 16, 2019 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

Virtual care has potential to fragment primary care and disturb continuity of care, warn doctors.
PMID: 31527195 [PubMed - in process] (Source: cmaj)
Source: cmaj - September 16, 2019 Category: General Medicine Authors: Glauser W Tags: CMAJ Source Type: research

CMAJ's next chapter.
PMID: 31511249 [PubMed - as supplied by publisher] (Source: cmaj)
Source: cmaj - September 11, 2019 Category: General Medicine Authors: Kelsall D Tags: CMAJ Source Type: research

Indigenous health research and reconciliation.
PMID: 31451523 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 26, 2019 Category: General Medicine Authors: Anderson M Tags: CMAJ Source Type: research

Effectiveness and cost-effectiveness of vaccination against herpes zoster in Canada: a modelling study.
, Brisson M Abstract BACKGROUND: Two vaccines against herpes zoster are currently authorized for use in Canada: the recombinant subunit zoster vaccine and live attenuated zoster vaccine. We compared the effectiveness and cost-effectiveness of these 2 vaccines. METHODS: We used a decision analytic static cohort model parametrized with Canadian epidemiologic and economic data. We performed the economic analysis from the health care system perspective, using a lifetime horizon and a 3% discount rate for costs and benefits. The primary outcome was the incremental cost per quality-adjusted life-year (QALY) gained,...
Source: cmaj - August 26, 2019 Category: General Medicine Authors: Drolet M, Zhou Z, Sauvageau C, DeWals P, Gilca V, Amini R, Bénard É, Brisson M Tags: CMAJ Source Type: research

Disseminated alveolar echinococcosis in a 74-year-old woman presenting with focal seizure.
PMID: 31451525 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 26, 2019 Category: General Medicine Authors: Olivier CJ, Li H, Auer RN, Dixit D Tags: CMAJ Source Type: research

Generalized tetanus.
PMID: 31451526 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 26, 2019 Category: General Medicine Authors: Niu KY, Lin YK Tags: CMAJ Source Type: research

Naloxone as a technology of solidarity: history of opioid overdose prevention.
PMID: 31451527 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 26, 2019 Category: General Medicine Authors: Campbell ND Tags: CMAJ Source Type: research

Tighter gun control laws are unlikely to prevent shootings.
PMID: 31451528 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 26, 2019 Category: General Medicine Authors: Scanlon MN Tags: CMAJ Source Type: research

Gun control: a health issue, a legal issue or both.
PMID: 31451529 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 26, 2019 Category: General Medicine Authors: Goldlist GI Tags: CMAJ Source Type: research

Health sector preaches patient privacy, but what about physician privacy?
PMID: 31451530 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 26, 2019 Category: General Medicine Authors: Mercer C Tags: CMAJ Source Type: research

Physician burnout may contribute to racial bias.
PMID: 31451531 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 26, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Canadians expect easier online access to health care: CMA survey.
PMID: 31451532 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 26, 2019 Category: General Medicine Authors: Vogel L Tags: CMAJ Source Type: research

Medical cannabis: strengthening evidence in the face of hype and public pressure.
r W PMID: 31427354 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Fitzcharles MA, Shir Y, Häuser W Tags: CMAJ Source Type: research

Associations among gastroesophageal reflux disease, mental disorders, sleep and chronic temporomandibular disorder: a case-control study.
Abstract BACKGROUND: Temporomandibular disorders (TMDs) are a family of pain-related disorders associated with impaired function in the jaw, temporomandibular joint and muscles of mastication. Our objectives were to evaluate the association between chronic TMD and gastresophageal reflux disease (GERD) and to determine whether mental disorders or undermined sleep mediates this association. METHODS: We conducted a case-control study involving 1522 consecutive adult patients with chronic TMD and 1522 matched controls from 2 hospitals in China. All participants were aged between 18 and 70 years and were recruited...
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Li Y, Fang M, Niu L, Fan Y, Liu Y, Long Y, Liu X, Tay FR, Chen J Tags: CMAJ Source Type: research

Group B streptococcal endocarditis following elective surgical abortion.
PMID: 31427356 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Billick M, Gold WL Tags: CMAJ Source Type: research

Eosinophilic granulomatosis with polyangiitis in a 10-year-old girl.
PMID: 31427357 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Linxue H, Yujie M Tags: CMAJ Source Type: research

Seeing medicine's hidden curriculum.
PMID: 31427358 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Leong R, Ayoo K Tags: CMAJ Source Type: research

Delivery options and risk of severe acute maternal morbidity.
PMID: 31427359 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Joseph KS, Boutin A, Lisonkova S Tags: CMAJ Source Type: research

Key considerations when comparing outcomes by mode of delivery raise questions about study validity and clinical relevance.
PMID: 31427360 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Muraca GM, Razaz N Tags: CMAJ Source Type: research

Do the politics or business background of health care philanthrophists matter?
PMID: 31427361 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Mercer C Tags: CMAJ Source Type: research

Self-regulation in health care professions comes under scrutiny.
PMID: 31427362 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Motluk A Tags: CMAJ Source Type: research

The doctor as patient: better informed but similar in behaviour.
PMID: 31427363 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 19, 2019 Category: General Medicine Authors: Basky G Tags: CMAJ Source Type: research

The impact of hospital harm on length of stay, costs of care and length of person-centred episodes of care: a retrospective cohort study.
Abstract BACKGROUND: There is a lack of data in Canada on the longitudinal effects of adverse events that occur in hospital, specifically in the period after discharge. Our objective was to quantify the impact of adverse events on hospital length of stay, length of person-centred episodes of care (PCEs) and costs of PCEs, as well as their impact on the total health system. METHODS: We conducted a population-based, retrospective cohort study using linked health administrative databases. We included adults in Ontario who had an acute hospital admission between Apr. 1, 2015, and Mar. 31, 2016. We grouped hospita...
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Tessier L, Guilcher SJT, Bai YQ, Ng R, Wodchis WP Tags: CMAJ Source Type: research

Management of ovarian cancer risk in women with BRCA1/2 pathogenic variants.
PMID: 31405835 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Walker M, Jacobson M, Sobel M Tags: CMAJ Source Type: research

Proprotein convertase subtilisin-kexin type 9 (PCSK9) inhibitors.
PMID: 31405836 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Leong D, Wu PE Tags: CMAJ Source Type: research

Actinic granuloma.
PMID: 31405837 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Liu W, Ma DL Tags: CMAJ Source Type: research

The truth about going home.
PMID: 31405838 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Moorehead P Tags: CMAJ Source Type: research

Potential toxicity of topical ocular solutions.
PMID: 31405839 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Cimolai N Tags: CMAJ Source Type: research

Public trust in the information age.
PMID: 31405840 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Bryan JM Tags: CMAJ Source Type: research

Taking personal leave remains a challenge for medical trainees.
re MC PMID: 31405841 [PubMed - in process] (Source: cmaj)
Source: cmaj - August 12, 2019 Category: General Medicine Authors: Grégoire MC Tags: CMAJ Source Type: research